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February 12, 2003

Consequences of Selling a Kidney in IndiaConsequences of Selling a Kidney in India

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(6):697. doi:10.1001/jama.289.6.697-a

In Reply: Drs Baines and Jindal suggest that a desire to enhance social status was a motivation to sell kidneys. However, all subjects mentioned economic reasons for selling their kidneys and none mentioned this symbolic motivation as even a contributing factor in their decision. In any case, we found no evidence that the social status of sellers improved. Posttransplant depression would be expected given persistent poverty and feelings of being exploited. We believe it is more important to address these underlying reasons rather than jump to psychological therapies.